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Visual System Involvement in Glial Fibrillary Acidic Protein Astrocytopathy: Two Case Reports and a Systematic Literature Review.

Giacomo GrecoStefano MasciocchiLuca DiamantiPaola BiniElisa VegezziEnrico MarchioniElena ColomboEleonora RigoniPietro BusinaroOttavia Eleonora FerraroStefania Bianchi MarzoliRoberto BergamaschiDiego FranciottaMatteo Gastaldi
Published in: Neurology(R) neuroimmunology & neuroinflammation (2023)
Visual system involvement in GFAP astrocytopathy is common and heterogeneous, ranging from asymptomatic bilateral optic disc edema to severe bilateral loss of vision, but optic neuritis is rare. GFAP CSF antibody testing should be considered in patients with encephalitis/meningoencephalitis or myelitis and bilateral optic disc edema, even without visual symptoms, and in patients with severe bilateral optic neuritis, especially when AQP4 antibodies are negative. Visual symptoms might associate with a higher relapse risk and help to identify patients who may require chronic immunosuppression.
Keyphrases
  • optical coherence tomography
  • case report
  • optic nerve
  • early onset
  • drug induced
  • neuropathic pain
  • binding protein
  • spinal cord
  • cerebrospinal fluid
  • protein protein
  • spectrum disorder